• Must have been honorably discharged
• Must have completed at least two years of active duty (exceptions include Early Out, Hardship & Disability incurred or aggravated in the line of duty).

How do I enroll?

1. You can enroll in person at any VA Medical Center or Clinic. Please refer to our Network 22 facility map for the location of the nearest facility.
2. You can enroll electronically by completing the Online 10-10EZ form.
3. You can also enroll by mailing or faxing the completed 10-10EZ form to the nearest Medical Center or Clinic. To speed up the enrollment process please also mail or fax a copy of your DD-214 or Honorable Discharge Certificate. You will also be asked to fill out a new supplemental form on Race and Ethnicity.
   
   

   For assistance you may also contact your California State or County Veteran Service Officer. For telephone listings please consult the blue pages of your local phone book under "California State Offices," look for "Veterans Affairs."

• A copy of your DD-214 Report of Separation (or equivalent form). If you do not have access to this form, please see our Frequently Asked Questions for instructions on how to obtain a copy.
• The enrollment system requires that most veterans provide the VA with a means test annually detailing their gross income and assets. This includes income for a veteran's spouse and dependent children.

1. Veterans with questions regarding benefits or ability to pay are encouraged to contact their nearest VA Centers. We are able to answer all questions, often right over the phone.
   You can also call our national toll-free number Monday through Friday between the hours of 8:00 a.m. and 4:30 p.m.: 877-222-VETS.
   
2. For questions about Enrollment and other topics visit Frequently Asked Questions.
3. Detailed information is available at the Veterans Health Administration's Eligibility website.

About the Online 10-10EZ
For your convenience, veterans can enroll electronically using the Online 10-10EZ Application for Medical Benefits.

• Submission of the online 10-10EZ application is fast and convenient and provides  the VA with the information necessary to begin the enrollment process.
• Online submission of information takes place on a secure server for confidentiality and security.
• Each submission will be followed up with contact from a qualified veterans benefits counselor who will assist you in completing the enrollment process.